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IHC HEALTH SERVICES, INC.
DSH460043 OREM COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
OREM COMMUNITY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH460043
Entity Address
331 NORTH 400 WEST
OREM, UT 84057
Medicare Provider Number
460043
Participating Start Date
3/15/2022
Last Recertification Date
9/6/2022
Entity Termination Date
7/1/2023
Pharmacy Details
Pharmacy Name
IHC HEALTH SERVICES, INC.
Pharmacy Address
DBA INTERMOUNTAIN PHARMACY #816
505 W 400 N
OREM, UT 84057-1950
Pharmacy Comments
Contract Details
Approval Date
10/12/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/16/2021
Pharmacy closed
Contacts
Covered Entity Signing Official
Craig Mills, Chief Financial Officer
(801) 662-6277
Contract Pharmacy Representative
Intermountain Healthcare
Sabrina Cole, Executive Operations Director, System Pharmacy Services
(801) 284-1002
Signed By Date
10/12/2018
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